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NPI Code Detail

MEDICARE: RONALD CARTER LPC

MEDICARE:   RONALD  CARTER  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.1801428OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184197550
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD CARTER LPC
Provider Business Mailing Address
First Line : 131 N LUDLOW ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-1116
Country : US
Telephone Number : 937-776-8478
Fax Number :
Provider Business Practice Location Address
First Line : 131 N LUDLOW ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-1116
Country : US
Telephone Number : 937-776-8478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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Directions to “ RONALD CARTER LPC” Practice Location

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